Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1407969660
Yvonne G. Marascalco
Organization Subpart: NO
Active
NPI Number1407969660
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1407969660
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-08-15
Last Updated2015-11-12
Authorized OfficialYvonne Marascalco
OWNER
Phone: 6622301940
Mailing Address1300 Sunset Drive, Suite C
Grenada, MS 38901
United States
Phone: (662) 226-0666 | Fax: (662) 226-1718
📍 View Map
Primary Practice Address1300 Sunset Drive, Suite C
Grenada, MS 38901
United States
Phone: (662) 226-0666 | Fax: (662) 226-1718
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDMS00330632-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes3336C0003X – Pharmacy, Community/Retail Pharmacy--
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About NPI 1407969660

Yvonne G. Marascalco is an organization registered in the CMS NPPES NPI Registry with NPI number 1407969660. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Grenada, MS. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-15. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1407969660?

NPI 1407969660 belongs to Yvonne G. Marascalco, a Pharmacy, Community/Retail Pharmacy in Grenada, MS. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1407969660 active?

The current status of NPI 1407969660 in the NPPES registry is Active. The record was last updated on 2015-11-12.

What specialty is NPI 1407969660?

NPI 1407969660 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1407969660?

You can verify NPI 1407969660 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1407969660?

The primary practice address on file for NPI 1407969660 is 1300 Sunset Drive, Grenada, MS 38901. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1407969660 issued?

NPI 1407969660 was first issued (enumerated) on 2006-08-15. The NPPES record was last updated on 2015-11-12.

Practice Location Map

Yvonne G. Marascalco is located at 1300 Sunset Drive, Grenada, MS. Use the map below to find directions or verify the practice location.

📍 1300 Sunset Drive, Grenada, MS 38901  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Yvonne G. Marascalco. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-08-26 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162